CNS Drugs - Mood & Psychosis Flashcards
pathway: regulation of movement
nigrostriatal
pathway: answer & think
mesolimbic
pathway: think and happy
mesocortical
pathway: endocringe
tuberoinfundibular
prolactin inhibitory hormone
dopamine
chlorpromazine
typical antipsychotic (classic)
(-) D2 receptor
address positive symptoms
s/e: extra pyramidal symptoms, hyperprolactinemia
fluphenazine
typical antipsychotic (classic)
(-) D2 receptor
address positive symptoms
s/e: extra pyramidal symptoms, hyperprolactinemia
haloperidol
typical antipsychotic (classic)
(-) D2 receptor
address positive symptoms
s/e: extra pyramidal symptoms, hyperprolactinemia
thioridazine
typical antipsychotic (classic)
(-) D2 receptor
address positive symptoms
s/e: extra pyramidal symptoms, hyperprolactinemia
trifluoperazine
typical antipsychotic (classic)
(-) D2 receptor
address positive symptoms
s/e: extra pyramidal symptoms, hyperprolactinemia
clozapine
atypical antipsychotic (newer)
serotonin-Dopa antagonist (blocks the higher one)
address both + & - symptoms
olanzapine
atypical antipsychotic (newer)
serotonin-Dopa antagonist (blocks the higher one)
address both + & - symptoms
adjunct to Li if not enough
newer agent
bipolar drug
quetiapine
atypical antipsychotic (newer)
serotonin-Dopa antagonist (blocks the higher one)
address both + & - symptoms
risperidone
atypical antipsychotic (newer)
serotonin-Dopa antagonist (blocks the higher one)
address both + & - symptoms
ziprasidone
atypical antipsychotic (newer)
serotonin-Dopa antagonist (blocks the higher one)
address both + & - symptoms
lithium
LiCO3
(-) release of Ne or inc reuptake
classic
bipolar drug
carbamazepine
adjunct to Li if not enough
newer agent
bipolar drug
clonazepam
adjunct to Li if not enough
newer agent
bipolar drug
valproic acid
adjunct to Li if not enough
newer agent
bipolar drug
DOC for mood disorders
SSRI
s/e: weight gain, impotence (male)
moclobemide
mao a selective (-)
MAOI (mao a = degrades all catecholamines)
phenelzine
mao a selective (-)
MAOI (mao a = degrades all catecholamines)
antidepressant
isocarboxazid
nonselective
MAOI
antidepressant
tranylcypramine
nonselective
MAOI
antidepressant
selegeline
mao b selective (-)
MAOI (mao b = degrades dopa only)
antidepressant
stimulatory
a2 blocker
inc sympa = in catecholamines
amitriptylline
tricyclic antidepressant
non selective (inh ne, dopa, 5ht)
amino reuptake blockers
“pramine”
tricyclic antidepressant
non selective (inh ne, dopa, 5ht)
amino reuptake blockers
bupropion
heterocyclic antidepressant
non selective (inh ne, dopa, 5ht)
amino reuptake blockers
mirtazapine
heterocyclic antidepressant
non selective (inh ne, dopa, 5ht)
amino reuptake blockers
venlafaxin
serotonin-NE reuptake inhibitor
non selective
amino reuptake blockers
antidepressant
duloxetine
serotonin-NE reuptake inhibitor
non selective
amino reuptake blockers
antidepressant
“xetine”
serotonin selective reuptake inhibitor
amine reuptake blockers
antidepressant
sertraline
serotonin selective reuptake inhibitor
amine reuptake blockers
antidepressant
escitalopram
serotonin selective reuptake inhibitor
amine reuptake blockers
antidepressant